460 Gomez 2019 from 01/01 - 06/30Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from — 1/1/2019
Date of election If applicable;
(Month, Day, Year)
Date Stamp
RECEIVED , ,Q
JUL 25 2019--
COVER PAGE
1 of 6
Rof Official use Only
SEE INOTRt1CT1ONS ON REVERSE through - 7/30/2019 November 8, 2018 CITY OF LA QUINITA
CITY CLERK DEPARTMENJ I
1. Type of Recipient Committee; All Committees - Complete Ports 1,1; 0, and 4. 2. Type of Statement:
® 9ffleeholder, Condldate Controlled Committee ® Primarily Farfii@d ®allot Measure ® Preelection Statement ® Quarterly Stat@fn@Rt
State Candld€lte Election Cotiffmitten Committee ® Semi-annual Statement ® Special Odd=Y@af Report
® Recall ® Controll@d ® Termination Statement
(Also s Paa J) i) Spornuf'iJ (Also file a Form 410 Temlinotion)
rAlso Cnmprera Pod 0® @neral Purpose Canimittee ® Amendment (Explain below)
Sponsored ® Primarily Foffri@d Candidate/
Imall Contributtif Committ o Officehold@r Committee -
Political Party/C@ntral Committ@@ ihlsoCwPinta€aril)
3. Committee Information i,D. NUMBER
1410351
GOMMITTEE NAME (OR A ]DATE'S NAM6 IF NO COMMITTE )
Go with Gomez 2018, LQ City Council
4.
T ET ADDRESS (Ng P,g: BOX)
78070 Via Melodia
CITY STATE ZIP CODE ARRACODE/PtCNS
La Quinta CA 92253 714 474 9680
A LI G ADDRESS (Ir 911PriMENT) NO. A IJ BTREET OR P.C, ®C)t
Saba
5 TY STATE ZIP 069E A RA CODE! Flp
OPTl9 AL: FAX / - AIL APPRESS
188gmail.Com
Treasurer(@)
F TREAOUMMM
®ante Gomez
MAILING ADDR - T
70070 Via Melodic
0' r STATE____An0DE AREA GOD V 115 HO NE
La Quinta CA 92253 714 474 9880
NAMI' OF ASSIS'[A.N T Ts FASURER, It ANY
N/A
G ADDRESII
STATE ODE AREA COffli* @Nl=�
C , NAL: FAX I E=MA L ADDRESS
I hav@ Used all reasonabl@ diligence In pf@paring and reviewing this stotem@nt and to tho best of my knowl@dg@ thrMrmoflon contained heroin and in the ahoched schedules is tftl@ and complete: I
c@Ftify under pennity of p@rjury under th@ lows of the State of California that the foregoing Is tru@ arq"rmul, ,-2
Executed on. _ 7/26/19
AW
Executed on 7/25/19
aW
Executed on
Id
Executed on
By
By
By
SigrwlUF@ ® @RlFolling officiholoaf, rarididete, Slal@ M@@§klF@ Proponent
By
Sign@ldF@ @F D@filfolling OffioBh@ @F, 9aFldidele, Stela M@@§IlF@ Proponent
FPPC form 460 (len/2016)
FPPC Advlc@I advicet9f00&0:aov 1866/275.17721
COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Dent@ Gomez
OrriCk rOUGKT OR HELD (INCLUDE LOCATION AND DIBfiKICT NUMBER IP APPLICABLE)
La Quinta City Council Member
RL810-EVIAUIBUSiNESS A DRESS (@, AND STREET) C TY IitATE ZIT''
76070 Via Melodle La Quints CA 92253
Related Committees Not Included in this Statement: Liatanycommhtees
Hot included in this statement that are controlled by you or are primarily formed to recelvv
contributions or make expenditures off behalf of your candidacy.
CI' TATE ZIP CODE AlItA CODEIPHONE
00MMWFEE NAME
I.D. NUMBER
❑ YES ® NO
CITY @TATE ZIP CODE A-REA CODE/PH
6. Primarily Formed Ballot Measure Committee
NAME OF BALL0 Mi A!;iIRE
BALLOT No. OR
Page 2 of a
® SUPPORT
OPPOSE
Idwitify the controlling officeholder, candidate, or state measure proponent, if any,
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
7. Primarily Formed Candidate/Officeholder Committee Liatnamesof
otficoholder(s) or candidate(s) for which this committee is primarily formed,
NAME OF OFFICEHOLDER OR CAWIDATE
OFFICE BOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANOIQAT€
OFFICE BOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDAT€
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOS€
Attach continuation sheets if nece$a@ry
FPPC Form 460 (Jon/3016)
FPPC Advice) edvic@@fppc,ca,gov (866/276.2772)
www.f ppc, €a,gov
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE _
NAME OF FILER
Dante Gomez - Go With Gomez 2018, LQ City Council
Amounts may be rounded
to wholo dollars.
Ststement covers period
from 1 /1 /2019
through 7/30/2019
Contributions Received
Column A
TOTAL THIaPERIOD
Column B
CAL€NDARY€AR
(FROM ATTACH€D SCHEDUL€®)
TOTAL TIP DATE
1. Monatory Contributions.................::.::::::::.......................
schedule A, Lilt@ a
$ 0 1
2456.95
2. Loans Received :::::::::::: .................. ::::::::::........................
Schedule 0, Lim a
0
2478.86
3. SUBTOTAL CASH CONTRIBUTIONS: ........................ :::..
Add Llnm 1 * 2
$ 0 111
4969.86
4. Nammonetary Contributions ......... :::::::::::...................... ..
Schedule C, Lin@ 0
0
576.00
5. TOTAL CONTRIBUTIONS RECEIVED: .................. __,,,,,,_.Add
Llnm a * 4
$ 0 111
6535.86
Expenditures Made
6. Payrfl@nts Made ........ ::I.: .............. ..................,,::: Scheduie E Lin@ 4
$
84.87
Ill 4796.91
7. Loans Made ........ :..::.::::::.......... ......::::::::::::.................... ::. Schedule a, LiR@ a
0
8. SUBTOTAL CASH PAYMENTS::.- ::::::::........... Add Lin@& a * 7
$
84.87
1 4796.91
9. Aooruad Expenses (Unpaid Bills) ::::::::::::...............:.::.:::::::::: Schedule F, Lift @
0
0
1 o. Nommonetary Adjustment ...........:::::::::::::::::..............:::.::::::::::: Schedule C, Lin@ a
- �
- - -- 0
11. TOTAL EXPENDITURES MADE,,,,,:,,:::,:; .................. ::::::.: Add Lines e * !I * i®
$
84.
4796.91
Current Cash Statement
12. B®ginning Cash Balance.........,< ...::::::::::.... Previous StintlijeryPage, Lin@ 10
13. Cash Receipts ,,,,,,,,,;,,;,;,,,,,,_.......:,::::::::::::, ............... C@Idlnn A, Line a @lt@v@
14, Mlsc@II@neous Incre®ses to Cash ::::..::...................... .:. Schedule 1, Lin@ 4
$
84.87
0
0
� calculate Column B,
add amounts In Column
A to the corresponding
amounts from Column B
15. Cash Payments .......::::::...............:::::::::::::. .............: Column A, Line @ @h@v@
16. ENDING CASH BALANCE ............::::::Add Lines 12 + 19 * 14, th@n subtract Lim 19
If ffiia is @ termination at@tement Lft 10 must be zero,
$
_ 84.87
_ 0
of your last report: Some
amounts In Column A may
b@ negative^ figures that
should be [iubtr@@tad from
previous period arnounts. if
this is the first report being
filed for this calendar year,
only carry over Ilia smounLz
from Lines 2, 7, and 9 (if
any).
17. LOAN GUARANTEES RECEIVED -:::I ...................... '' Schedule ®, ✓�@rt 0 $ 0
'
Cash Equivalent@ and Outstanding Debts
18. Cash Equivalents-,,:,, ................. ........... Sm InsfWctions an r@V@rg@ $ 0
19. outstanding Debts-::, ............... Add Line 2 * Lin@ ®in Column 0 @tlov@
$
_ 2478.86
SUMMARY PAGE
e � • 1
Pegs 3 of 5
I:C: NUMBER
1410351
Calendar Year Summary for Candidates
Running in Both the state Primary and
General Elections
ill through 6130 V1 to Dat@
20: Contribution+;
Received $ - -- $
21: Expenditure-
Made $ _ _ $ -
Expenditure Limit Summary for State
Candidates
22. Cumulstiv@ Expenditures Mad@"
(If lukieat to Wlunlary EaHantlltura Loot)
Date of Election Total to Data
(mm/dd/yy)
$
'Amounts in this section may be diffor@nt from amounts
r@ported in Column 0,
FPPC Form 460 (Jan/2016)
FPPC Advlcet sdvic@@fppc.ca,gov (066/275.3772)
vvww,fppc,Cs,gov
Schedule B — Part 1
Loans Received
Amounts mmy bm rounded
to whole dollars.
statement covers perlou
from 1/1/2019
SCHEDULE B - PART 1
through 7/30/2019
page 4 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER — _ - - — _ — - - — _ - -
I:D: NUMBER
Dante Gomez - Go With Gomez 2018, LQ City Council
1410351
FULL NAME, STREEfiA®@RESSANDSIP 'ODE
IF AN INDIVIDUAL, ENTER
OCCUPATION
OUTSTANDING
AMOUNT
AMCUNfi RAID
oUT6fi' &DING
CE AT
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
(IF 90MMITTEEs, AL®® €NT€R LD. NUM®€R)
€LEI EMPL0yE6, €N p-fi
NAME OFBU8IN€^N!
BEGINNINGBALANCE
RECEIVED THIS
� R&®D
OR FORGIVEN*
C ALE
PAID THIS
PERIOD
AMOUNTOF
LOAN
CONTRI®UfiIONS
To DATE
IERIOD
THIS PERIOD
PERIOD
Dante Gomez
Attorney, County of
® PAID
CALENDAR YEAR
78e70 VI@ Melodle
Riverside
$ 84.87
s�
��
s 56
25 6
La Quint@, CA 92283
m ;`OWIV€N
HATE
PER ELECTION*'
$_2606:86
s 0
S 2479:86
Non@
tm IND [J COM ® OTb ❑ PTY I 1 @CC
— —
DATE DUE
DATEI14:.'UNR1ED
❑PAID
— —
CALENDAR YEAR
�—
---- —
$
$
❑ FOROIVEN
PER EL€CTION'*
RATE
t❑ IND ® COM I!I OTb ❑ PTY 0 RCC
s
s
s
$
�
DATE [)WE
DATE INOWIED
❑ PAID
CALENDAR YEAR
$
a
❑ FOROIV€N
PER ELECTION"
HAT€
1 ❑ IND ® COM ® OTb ❑ PTY ® 6Cc
5
s
S
S
§
SUBTOTALS $
$
DATE DUE
$
$
DATE INOURRED
Schedule B Summary
1. Loan@ received this period ....... ::::::............... ........:.................... ....... -:::,:.......
...,.,,:$ _ ^
(Total Column (b) plus uniternlz@d loans of less than $100,)
2. Loans paid or forgiven this period: .................... ::. ............. 2—:::: ....................................... —:,P ............. $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also Itemized on Schedule A,)
3. Net change this period. (Subtract Line 2 from Line 1.)...:::::::..................... t,: ........... ,,:,,,:::::...... NET $ _
Enter the net here and on the Summary Page, Column A, Line 2. (May be an@ggtly@Rdlfil€ar)
*Amount@ forgiven or paid by another party also must be reported on Sch@dwl@ A.
** If r@gwif@d.
Mnliff (@) oil
Sch@dwI@ €, Lim 3)
tCmiributor Codes
INC = Individu@I
COM = Realpl@I9t Corti fllttee
(oth@r then PTY or SOO)
OTH = Other (@:g., bD@iRess entity)
PTY = Polit&oal Party
SCC = Small Contributor Committee
FPPC Form 660 (Jan/2016)
FPPC Advl6@E edvl€@fflDfppC:€o,gov (166/275=1772)
www,fpPC,€a,gov
E
Schedule E Amounts may be rounded Statement coven psrlod
to whole dollars. ■
Payments Made from 1/1/2019 1 FORM
SEE INSTRUf-TIDN& ON AEVgRSE _
through _. 7/30/2019 Page 5 - of 5
NUM149IR
Dante Gomez - Go With Gomez 2018, LQ City Council 1410351
CODES; If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment.
CMP
campaign parephernalla/misc.
M®P
member communication§
RAD
radio airtime and productlon ®®ate
CNS
campaign consultants
MT®
meetings and appearanoeb
RFD
roWn0 contributions
CTB
contribution (explain nonmonetery)"
Oro
office exponwe
SAL
campaign worker,' F @lanes
CVC
civic donations
PET
petition circulating
TEL
t,v, or cable airtlrne and production costs
FIL
candidate filing/ballot fees
Pb®
phone banks
TRC
candidate travel, lodging, and m@als
FND
fundraising event �
POL
polling and survey research
TRS
sfaftlgpouse travel, Iodping, and nisale
IND
lad@p@ndent expenditure supporting/opposing others (@xphln)•
POS
postage, delivery and meseeng@r services
TSF
tran9flor between committees of the s§rtl@ candidate/sponsor
LEG
I@gal defense
PRO
profewdonal a@rvices (legal, accounting)
VOT
vot@r registration
LIT
Campaign literature and mailings
FIRT
print ad°
WEB
information technology costs (Int@met, @=mail)
NAME AND ADDRESS OF PAYFF
(IF COMMITTtti AM ENTER IA NUM@€R)
Dante S: Gomez, 78070 Via Melodic, La Quints, CA 92253
CODE OR DESCRIPTION OF PAYMENT
Partial loan repayment of I$64,87 with remainder of
CTB ®ash to Dante S: Gomez for loan amount of
$2,565.86; remainder of loan forgiven:
AMOUNT PAID
$8417
* Paym@nta that are contributions or ind@p@nd@nt expendituf@a must also be agmmarized on Soh@dule D. SUUTOTAL j 8417
Schedule E Summary
1. Itemized a menu, made this period. include all Schedule E subtotals. $ 84,67
P Y p ( )..::::::............::.:,:,.:.:.:.........:.,..:,::::............::::,:::::,..................:::......:::::.
2. Uniteliilted payments made this period of . under$100....... ..::::::................ :.::::............ :.:.:,,::,_.:... .............. ,::............... ,::::::............. ,.... -...:.....::::::, $ .. _ . .
3. Total Interest pold this period on loans. Enter amount from Sohedule B Part 1, Column e 0
4. Total payments mad® this period: (Add Lines 1, 2, and 3. Enter here and on the Summery Page, Column A, Line ®:).::::........... TOTAL $ — 84,87
FPPC Form 460 (Jan/8016)
FPPC Advla@► advic@L10ppc:ca.gov (866/275.2772)
www.fppc.co.gov